Provider Demographics
NPI:1417548363
Name:LIMITLESS INDEPENDENCE TOGETHER
Entity Type:Organization
Organization Name:LIMITLESS INDEPENDENCE TOGETHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALEIGH
Authorized Official - Middle Name:K
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-434-3358
Mailing Address - Street 1:410 JUNGERMANN RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-2749
Mailing Address - Country:US
Mailing Address - Phone:931-434-3358
Mailing Address - Fax:
Practice Address - Street 1:193 GLENSHIRE LN
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8165
Practice Address - Country:US
Practice Address - Phone:931-434-3358
Practice Address - Fax:636-754-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care